15 Annual Report - Anyinginyi Health Aboriginal Corporation
Transcription
15 Annual Report - Anyinginyi Health Aboriginal Corporation
Anyinginyi Health Aboriginal Corporation 14/15 Annual Report Ngarunyurr Parlpuru Munjarlki ‘Prevention is the Solution’ table of Contents Introduction.....................................................................................................................2 Governance Structure................................................................................................... 5 Chairperson’s Report..................................................................................................... 6 Board of Directors ......................................................................................................... 8 Jurrkul Munarlki Wurrpu | Cultural Competency Group........................................ 12 General Manager’s Report............................................................................................ 14 Primary Health Care Delivery Model........................................................................ 16 Palpuru Ninji | Health Services ................................................................................... 18 Eye Health.......................................................................................................................20 Allied Health Services................................................................................................... 22 Manu Kinapina Parlpurru Ninji Kari | Regional Remote Health Section............24 Nyangirru Piliyi-ngara Kurantta | Business Services.............................................. 26 Piliyintinji-ki | Stronger Families ................................................................................28 Wirlyarra punjarlki kapi Miripartijiki | Sport and Recreation................................34 General Purpose Financial Statements ....................................................................38 My Story The Way I Lived............................................................................................46 anyinginyi Annual Report 14/15 As a Community Controlled Aboriginal Health Organisation, Anyinginyi provides primary health care services to the people of Tennant Creek and the surrounding Barkly region. Multidisciplinary and consisting of six different sections, Anyinginyi offers a holistic approach ensuring that our clients physical and emotional health and wellbeing is given the utmost priority. Our Health Service Delivery Area stretches north of Tennant Creek to Elliott, east almost to the Queensland border and south to Ali Curung, an area of almost 150,000 square kilometres. Anyinginyi Health Aboriginal Corporation adopts the following guiding principles: • Empowering individuals to take reasonable responsibility for their health • Assisting to address the social determinants that contribute to the poor health status of many local people • Community engagement • Focus on clients • Cultural responsiveness • Respect for ourselves and all people • Respect community autonomy • Aboriginal and non-Aboriginal people working together as one team • Quality relationships, internally and externally • Development opportunities for staff • Effective communications • Financially responsible • Outcomes focussed • High quality reporting, internally and externally Our History Created in 1984, our constitution then, as now, focussed on the central objective to relieve the poverty, sickness, helplessness, economic disadvantage and social distress that affects the Aboriginal population, through various community based strategies and programs. Since 2003 Anyinginyi has continued to run nine other region-wide based programs for the people of the Barkly, providing services such as Maternal Health, Eye Health, Substance Misuse, Mental Health Counselling, Dental, Health Promotion, Physical Health, Allied Health, and Bush Mobile to eleven remote communities. In 2014 the Federal Government placed Regionalisation ‘on hold’ for the next year. The response from Anyinginyi has been to continue to strengthen the organisation to be better prepared when Regionalisation is able to be progressed. In 2003 Anyinginyi Congress Aboriginal Corporation became Anyinginyi Health Aboriginal Corporation to create our own distinctive identity. It was also in 2003 that the North Barkly Zone approached Anyinginyi asking us to auspice their health service funding. Increasingly Anyinginyi were also being asked by departments and communities to provide various regional programs in primary health care, health education and health infrastructure; most well known being the North Barkly Primary Health Care Program which provides GPs to our remote North Barkly communities and the Grow Well Program for the South Barkly. 2014/2015 Anyinginyi annual report • introduction 3 Our vision is to be a key player in successfully “closing the gap” in the health status of Aboriginal persons in the Barkly region. Our Mission is to be a provider of high quality primary health care services focusing on prevention and treatment in a culturally responsive way and to empower individuals to take more responsibility for their own health. Our 2014/2015 Year The 2014/15 financial year has seen Anynginyi continue to grow as an organisation to what is now a well governed and managed independent entity that consults and listens to its community and provides high quality services in a culturally appropriate manner. We invite you to read this Annual Report to learn more about Anyinginyi Health Aboriginal Corporation and how we are making prevention the solution in the Northern Territory’s Barkly region. Our Governance Structure 2014/2015 Anyinginyi annual report • Governance Structure 5 Chairperson’s Report It gives me great pleasure to present the 2014/15 Annual Report of Anyinginyi Health Aboriginal Corporation. Over the past year Anyinginyi continued to work towards organisational excellence, service improvement and change the quality of life of Aboriginal people for the better. As an Aboriginal controlled & managed community based organisation it is imperative we hold onto this ethos & equally important actually demonstrate how we do it. It is what I and the Board are committed to. That Anyinginyi provides its primary health care services by engaging and participating with its client base and community. During this year’s term I had engaged with the community by representation and attending many activities and events in my leadership role as Chair of the Board. Anyinginyi is committed to educating the community on what is needed to have a healthy life and make good healthy choices. Our hard working staff share this commitment by holding regular Open Park events that focus on a particular health subject like smoking, scabies, active living. For our organisation working out in the community, in the parks and streets is to be visible as part of community based and in order to actively engage with the community. Ongoing community engagement will be further strengthen with the re-establishment of the Public Health Unit. I and the Board have made a decision that it is timely to conduct an internal organisational health check to ensure Anyinginyi continues to do well but to consider further improvements and changes necessary to position the organisation in line with its structure and funding arrangements. The Board considers this best practice & a organisational health check regularly occurs between a comprehensive organisation review. Anyinginyi is about continuous quality improvement and has achieved ISO accreditation and it is only appropriate I congratulate Section Managers and their staff who performed admirably as a team to make this happen. The National Disability Insurance Scheme (NDIS) is a trial in the Barkly Region. The NDIS trial is an opportunity for engagement with Aboriginal people and the development of early intervention services. Anyinginyi is a stakeholder and works in partnership as a participant on the NDIS local Advisory Group and a national working group. A Memorandum of Understanding clearly establishes the relationship. Anyinginyi has met with Minister Mal Brough Chair of the Commonwealth parliamentary committee established to review the NDIS trial sites. I and the Board encourage partnerships in co-presentations to major forums. This year Anyinginyi and Papulu Appar Kari Language Centre partnered to co-present at the 2015 Indigenous Leadership Conference: Navigating the health-education nexus Healthy Kids, Smart Kids Conference in Darwin. In conclusion: On behalf of the Board I wish to thank Mr Trevor Sanders the outgoing General Manager for his hard work of five years in the role. He came into our midst and built meaningful and respectful relationships. We wish him well for the future. On behalf of the Board I wish to thank all our staff who have worked tirelessly with goodwill and dedication in the interest of Anyinginyi. Finally, I acknowledge and thank my fellow Directors for their support, commitment, leadership, and good governance qualities in making Anyinginyi an outstanding Aboriginal Community Controlled Organsation. Anyinginyi is a member of the Aboriginal Medical Services Alliance NT (NT). As Chair I regular attend general meetings. I have recently been accepted as a member to the Aboriginal Housing NT working group. It was important for us to have representation from the Barkly knowing the critical issues we face with social housing and with housing and adequate shelter closely associated with determinants of health. I and the Board continuously work hard in all our deliberations to uphold the ethos of Anyinginyi and that is to be ‘Culturally Responsive’. The Board has made a determination to strengthen its Cultural Framework by refining a number of policies including the Cultural and Aboriginalisation Policies. The Cultural Competency Group (CCG) is an internal committee comprising of Aboriginal staff and Directors that oversee and ensure cultural security is imbedded in organisational policies, procedures, systems and practice. Ross Jakamarra Williams | Chairperson 2014/2015 Anyinginyi annual report • chairperson’s report 7 Ross Jakamarra Williams | Chairperson A Warumungu man from Phillip Creek, Ross is a co-founder of Anyinginyi Health Aboriginal Corporation and has been involved in many different roles within the organisation throughout its history. His community participation extends beyond Anyinginyi and he has been involved with many other organisations in Tennant Creek. Ross belives that “quality education and housing are fundamental for our people. It leads to better health and provides the opportunity for prevention to work.” Marnji Napanangka-Napangardi James | Deputy Chairperson Marnji is a Walpiri woman originally from Ali Curung and living at Elliott, representing Elliott and Marlinja on the Anyinginyi Board of Directors. Marnji’s traditional country is Ngarnarlkurru, near the Lander River in the Tanami Desert area. Marnji has been involved with Anyinginyi for many years, and brings a wealth of community knowledge. Marnji has extensive experience in the health sector, working as an Aboriginal Health Practitioner for over 30 years. Board of Directors William Walker | Secretary William is a new Anyinginyi Board member. He is pleased to be appointed as a director of an organisation that is committed to the health and wellbeing of the local people in this area. William, who is part of the Stolen Generation, came to Tennant Creek in 2008 to meet his Grandfather’s people. William’s Grandfather and his sisters were taken from the Barkly Region to Cherbourg in QLD, and were never able to return to the Northern Territory. William brings to the Anyinginyi Board 15 years of experience working in the Alcohol and Other Drugs (AOD) sector in Victoria, New South Wales and the Northern Territory. For the past five years, William has been employed as the BRADAAG Residential Rehab and Outreach Program Manager. Joyce Taylor | Treasurer A member of the Anyinginyi Board for 2014/2015, with prior elected terms with Anyinginyi, Joyce comes to the Board with many years of experience in health and Aboriginal Community Representation. Joyce stands for health improvements in the area of education of clients about their sickness and how and why medication is important. Duane Fraser Duane is a Bidjarra man and was born in Winton, Queensland but has been living in the Barkly for the majority of his life. He has been on the Anyinginyi Board for the past seven years and has been heavily involved with community development, including being a major driver of NAIDOC Week events. Duane is currently employed as the Indigenous Engagement Officer for the Indigenous Coordination Centre. Duane has previously worked as the Coordinator for Anyinginyi’s Piliyintinji-Ki Men’s Centre and also for the Council of Elders and Respected People (CERP). Pat Braun Nungala A member of the Anyinginyi Board for seven years, Pat was born in Tennant Creek, her mother a Warumungu woman and her father an Arrente man. Pat comes to the board with 30 years experience as a health worker for the Department of Health and a Councillor for Barkly Region. Mary Munna Nappangarti Noonan Mary is a Jingili Mudburra lady who grew up in Powell Creek near Elliott, and has other tribal language links to Gurindji, Warlmanpa, Warumungu and Garawa. Mary also has Chinese in her families’ bloodline. Mary is very proud of who she is and where she comes from and believes it’s very important to teach the younger generation to have pride in their Country and to work to come together as one. Working at Rockhampton Downs Wogyala primary school for over nine years as an Assistant teacher in the Barkly Tablelands has made Mary think bigger about choosing the best in life. Mary is passionate about her role and, with the support of her families, emphasises how important education is and that sending children to school every day will create success for Aboriginal people. “Talking up for my people’s direction to be going with every day health issues is a very big part in so many ways in closing the gap. I am proud that my people gave me the voice to stand for us all” 2014/2015 Anyinginyi annual report • board of directors 9 Stuart Nugget Stuart is a new Anyinginyi Board member, representing Elliott and Marlinja. Stuart is pleased to be appointed as a director of an organisation that is committed to the health and wellbeing of the local people in this area, and is passionate about being able to represent his community on the Board. Noel Hayes Noel is a Kaytetye man living in Ali Curung Community and has been involved with the Anyinginyi Board since 2009. Noel has held numerous governance and positions of authority in both Aboriginal and Non-Aboriginal structures and is an active advocate for his community. Noel is very supportive of the Regionalisation process and actively involved in a number of organisations throughout the Barkly Region. Prof Ngiare Brown Ngiare is a Yuin nation woman from the south coast of NSW. She is a senior Aboriginal medical practitioner with qualifications in medicine, public health and primary care, and has studied bioethics, medical law and human rights. She was the first identified Aboriginal medical graduate from NSW, and is one of the first Aboriginal doctors in Australia. Over the past two decades she has developed extensive national and international networks in Indigenous health and social justice, including engagement with the UN system. Aboriginal child protection; Assistant Director, Indigenous Health Menzies School of Health Research; and Senior Clinical Research Fellow, Child Health Division MSHR. She is also currently undertaking doctoral research in the UNSW Faculty of Law addressing Aboriginal child protection issues. Ngiare is a founding member and was Foundation CEO of the Australian Indigenous Doctors’ Association (AIDA); is a founding member of the Pacific Region Indigenous Doctors’ Congress (PRIDoC); and is Chair of the Health, Rights and Sovereignty committee of PRIDoC. Her interests are largely twofold, addressing i) culturally relevant approaches to child and adolescent health and wellbeing, including building the evidence base through collaborative and multidisciplinary research, translation and service delivery; and ii) a cultural determinants approach to Indigenous health and wellbeing. Prof Brown has made extensive contributions to Aboriginal and Torres Strait Islander health research, research process, bioethics, policy, translation and practice. She has been engaged as the Indigenous Health Advisor to the federal AMA (1997-2000); was team investigator on an Indigenous Capacity Building Grant with TICHR for legal and doctoral studies addressing Ngiare has recently established Ngaoara, a not-forprofit dedicated to Aboriginal child and adolescent wellbeing, and supporting communities to develop initiatives focused on cultural education, and breaking the intergenerational cycles of trauma and disparity. 2014/2015 Anyinginyi annual report • board of directors 11 Jurrkul Munarlki Wurrpu - Cultural Competency Group The Jurrkul Munarlki Wurrpu (Cultural Competency Group) is a specialised group that provides invaluable cultural advice and guidance to the organisation respecting cultural values, beliefs and practices. The Group’s membership is entirely Aboriginal and is made up of Anyinginyi staff and Directors. The Jurrkul Munarlki Wurrpu was established in an effort to make Anyinginyi programs more culturally responsive. Its role is to ensure that all services are culturally appropriate and to work to enhance Anyinginyi’s cultural identity and strength. The purpose of the group is to provide input to ensure all information, resources and other items are appropriate and understandable for ALL Wumparani people across the Barkly region. Some of the work done by the Jurrkul Munarlki Wurrpu, since its establishment in 2012 is evident across the organisation. This includes the creation of Warumungu names for all of the sections within Anyinginyi, more appropriate gender separation in the Health Centre waiting area, better signage across the organisation and revision of policies, procedures and guidelines as required to ensure they are culturally appropriate and relevant. The Jurrkul Munarlki Wurrpu is currently working on several projects including the review of Anyinginyi’s intranet and internet site to ensure that it is culturally appropriate and easily accessible for staff and clients, and development and review of Anyinginyi’s Foetal Alcohol Spectrum Disorder project activities and resources. It is very important that the Jurrkul Munarlki Wurrpu keeps activities relevant to providing culturally appropriate primary health care services to the people of the Barkly region, with the group being both proactive by continually revising service delivery, and reactive by responding to concerns of clients and community members regarding cultural matters. For the coming twelve month period the Jurrkul Munarlki Wurrpu, together with Piliyintinji-Ki Stronger Families, is planning to make a priority of raising culture and cultural awareness across the organisation in all program activities and service delivery. 2014/2015 Anyinginyi annual report • cultural competency 13 General Manager’s Report I return to an organisation that has always held a special place in what I do! In the short period as General Manger I have been instructed by the Board to focus on a number of matters including; I was appointed by the Board to the General Manager position in April 2015, a position I formally held for a number of years. Anyinginyi Cultural Framework: Anyinginyi Health Aboriginal Organisation remain to be a vibrant and innovative to tackling the challenges of delivering primary health care to one of the largest remote region in Australia. It is only appropriate we acknowledge the departure of Mr Trevor Sanders. Trevor was the General Manager for five (5) years. He moved to Tennant Creek to take up the position with Anyinginyi in the Aboriginal primary health sector as a total ‘unknown’ and left as an ‘absolute known’. Trevor embarked on a journey working with Aboriginal people coming with no pre-conceived ideas or ‘I know best’. He shared his ideas, collaborated with other service providers, shared goodwill and always explored ways to excel the organisation – and always would seek you out and say ‘want to catch up over coffee?’ He has left many coffee addicts behind I’m sure. The Board and staff sincere thanks to Trevor Sanders and wish him the best. It is refreshing and commendable to be able to work with & report to a Board of Directors who take their role of a Director seriously engaging with the business of good governance, leadership and transparency. • The organisation takes pride in building the ongoing maintenance & nurturing Aboriginal culture so culture is meshed with day-to-day business. We have explored a range of measures, refined and or adopted policies as key reference points that support Anyinginyi’ s cultural framework. The Cultural Implementation Officer is pivotal to the workings of the framework. The framework recognises how important culture is to a holistic approach to good health and well-being. It sets the foundation for cultural responsiveness and ethos of the organisation. Organisational Health Check: • We have begun a process to conduct an Organisational Health Check (organisation review). I believe a good confident organisation that operates on transparency regularly audits itself. Over time structures and units inside our organisation that deliver services change to meet community expectations and funding arrangements and or new compliances. The Boards and management with the support of a consultant are working on checking if the structure remains sound and relevant & support the delivery of our programs. Clinical Staffing: • In our previous Annual report we mentioned Anyinginyi struggles to attract & retain doctors, nurses, dentists, Aboriginal Health Practitioners and allied health professionals. I thinks this will remain to be a challenge because of our remoteness. However, this year we have conducted a vigorous recruitment campaign and have employed a number of full-time nurses and continue to recruit to all clinical positions. Working in Partnership: • As a primary health care service operating in a remote area cannot bring about shifts in social determinates without cementing positive relationships and building partnerships with other service providers. Anyinginyi is committed to appropriate partnerships. We see partnerships as an integral part of our business. We have developed an Agreement with National Disability Insurance Scheme (NDIS). This partnership has resulted in the joint funding of a position attached to our service. • We have signed off on a MOU with the Department of Oral Health Services. • The most exciting partnership we have entered into is with WillPower, a community program of PortPowers AFL. The partnership is the fund-share arrangement of a position to roll-out the WillPower healthy lifestyle program across the Barkly. We are enjoying the visits of some of the most talented AFL players who have now retired & committed to continuing support for young Aboriginal people in the bush. Barb Shaw | General Manager I have indeed returned to work for an organisation that continues to do good work. I wish to thank the Board of Directors for their support and particularly appreciate the way the Directors regularly touch base with the General Manger between formal engagements. I wish to thank the Section Managers who are the General Manager’s leadership team for their support and who are so committed to what they do in their jobs and accept & work with direction in such a professional manner. I wish to thank all Anyinginyi staff. The challenges are huge and every one of you are doing your bit. Lastly, I wish to thank the community and community stakeholders who have partnered with Anyinginyi to deliver a holistic primary health care services to the region. 2014/2015 Anyinginyi annual report • General Manager’s report 15 Primary Health Care Delivery Model As a leader in health care we provide the following services: • Primary Health Care • Nutrition • Ear Health • Chronic Disease • Eye Health • QUIT Smoking • Sexual Health • Substance Misuse • Child and Maternal Health • Counselling • Physical Fitness • Bring Them Home • Podiatry • Public Health Education • Physiotherapy 2014/2015 Anyinginyi annual report • Primary Health Care Delivery Model 17 Palpuru Ninji | Health Services Team Purpose Statement: The AHAC Health Services Unit delivers a quality, client-focused, holistic approach to primary health care within the Barkly region, in an empowering, compassionate and culturally sensitive manner. Anyinginyi Health, is an Aboriginal Community Controlled Health Service and is responsible for the delivery of Primary Health Care to many Aboriginal communities of the Barkly Region of the Northern Territory. Primary Health Care is the first level of contact that individuals, families and the community have with the health care system. Our service incorporates personal care with health promotion, the prevention of illness and community development interconnecting principles of equity, access, empowerment, community self-determination and inter-sectoral collaboration. It also recognises and understands the role that the social, economic, cultural and political determinants of health play in improving health outcomes. To achieve the above, Anyinginyi Health runs a variety of programs out of its various premises in Tennant Creek as follows. Health Centre The Health Centre has a dedicated team of clinicians (Doctors, Aboriginal Health Practitioners and Registered Nurses), Administration and Liaison staff who work closely together to provide our clients with a service that is both welcoming and meets best practice standards of care. Many clinicians hold portfolios that focus on specific aspects of health care such as women’s and men’s health, child health, diabetes, renal disease and cardiovascular disease. These positions are supported by visiting specialists in the field of cardiovascular and renal disease and allied health professionals employed by Anyinginyi Health on a permanent or visiting basis. Attraction and retention of staff in remote areas is an ongoing challenge for health services. Small communities and towns do not have the workforce numbers to fill all the skilled positions available and therefore organisations have to look further afield. To assist with this Anyinginyi Health provides an excellent high quality facility in Tennant Creek and also provides good quality housing for its staff. It also offers other attractive working conditions that are not available in urban settings. As we set our gaze to the future we aim to build on the work already done in the area of continuous quality improvement with a major priority being renewal of our AGPAL Accreditation. Practices accredited by AGPAL meet a set of Standards that ensure safe, high quality care is delivered to patients. As in all industries there is always room for improvement and our dedicated team are utilising our organisational Key Performance Indicators to identify areas of performance to enhance by putting in strategies to achieve better health outcomes for their clients. Care Co-ordination Nutrition Program • The Care Coordination Team run a Government funded program that supports activities to improve the prevention, detection, and management of chronic disease in Aboriginal and Torres Strait Islander people. Better management of these chronic conditions is a key factor in improving health outcomes and life expectancy for Aboriginal clients. The Care Co-ordination team take an organised approach to integration at the primary care level and with other parts of the health system. Linking with a range of other programs within the organisation and those provided by other agencies this program contributes to good quality care for people with chronic conditions by improving access to primary health care, integration of primary care with allied health and specialist care and enables other ancillary and follow-up activities necessary for effective chronic disease management. It can help overcome barriers such as lack of transport and difficulties with medicines compliance. • Nutrition is one of the cornerstones of good health and many of the chronic diseases suffered by the people of the Barkly Region are either caused by poor dietary habits or are strongly influenced by them. Anyinginyi Health employs a fulltime Nutritionist/ Dietician. The nutritionist conducts cooking classes for various community groups and discusses the health benefits of the foods selected, conducts nutrition education classes in schools, assists organisations’ with meal plans, provides dietary advice to individuals with chronic disease, advises mum’s with nutrition advice for growing healthy babies, and works with families wanting to learn more about good foods for creating good health. • The nutritionist provides services not only to the township of Tennant Creek but also to remote communities across the Barkly Region. There is close collaboration with other stakeholders in the region such as NT Health, the local Regional Council, Department of Education, Families as First Teacher’s, individual Community based groups, and local Child Care centres. • Referrals are generated from clinicians from Anyinginyi Health and other agencies and clients can self-refer to the service. The nutritionist works closely with the Diabetes Educator and Grow Well co-ordinator employed by Anyinginyi Health in order to take a collaborative case management approach to patient care. 2014/2015 Anyinginyi annual report • palpuru ninji | health services 19 Eye Health Eye Health Program • The Eye Health Team continued to provide eye health services to the Barkly Region. In the last year, they have seen 1059 people with the Optometrists, and 407 people with the Ophthalmologist (Eye Specialist). A total of 714 pairs of glasses were prescribed for people after examinations, and Dr Henderson performed 36 operations. This valuable program continues to conduct clinics in Tennant Creek, Ali Curung, Elliott, Canteen Creek, Epenarra, Alpurrurulam and the North Barkly. • During the year the Eye Health Co-ordinator once again assisted the delivery of a Surgical Intensive Week at Alice Springs where Dr Henderson operates on people from Central Australia and the Barkly Region. This is a yearly commitment that Anyinginyi Health has in place with the Alice Springs team. • Health Promotion continues to be an important part of spreading the word about taking care of our eyes and this continued this year, supported by the appearance of “Iris the Eyeball” who always draws a crowd. As part of the ongoing commitment to health promotion the Eye Team has now made 2 CD’s for Health Promotion in conjunction with Fred Hollows Foundation, the first on wearing glasses and the second on cataracts and the importance and value of getting treated. Trachoma Program • Trachoma is a bacterial infection of the eye that can cause complications including blindness. This is a preventable disease and maintaining facial cleanliness is the key factor in its prevention. This communicable disease is still common in many remote communities. In the Barkly Region it has been a year of mixed results with regard to Trachoma infection, commencing with an increase in prevalence to approximately 26% across the region. However this was not the case in all communities as three communities screened in the North Barkly were Trachoma free. Ten Communities were visited, eight of which required community wide treatments, and six of these require community wide treatments every six months. Of the 1270 registered in the Barkly Region school children in the 13 Communities including Tennant Creek 1004 children were screened or treated. • It is important for the success of the campaign to reduce or eliminate Trachoma that children and families have access to good working washing facilities but unfortunately this is not always the case in some remote communities. • Co-operation from the Clinics, the schools and their respective staff members was vital to running the program for without their assistance and cooperation we would not have been able to screen and treat so many clients. In addition a network of Aboriginal community members is being developed to assist with the screening and education of school children and the community generally in the prevention of and the ramifications of contracting Trachoma. The Community Based Workers are an essential part of the education and negotiation process stressing the importance of good hygiene to reduce Trachoma and Trichiasis (no Trichiasis was found this year). Families as First Teachers is another important group we link in with in communities as they can educate the young families on the importance of good hygiene when children are young. The intention is to establish contact with this and similar groups in all communities as well as Men’s groups and the Community Engagement Officers. 2014/2015 Anyinginyi annual report • palpuru ninji | health services 21 Allied Health Services Allied Health Centre Diabetes Educator • On average, there are about 2-4 referrals currently being made to the Diabetes Educator each week. Of the nearly 500 individuals living with Diabetes in the Barkly region 200 have had Diabetes education. Many coming back for on-going follow-up. With an absence of a diabetes educator for nearly 6 months prior to January 2015, it’s been an achievement to be just 1% under the national average for individuals with optimal Diabetes control with 34% vs 35% (National report). With all clinicians supporting and providing diabetes care at many levels there has been a reported improvement in glycaemic control of 57% patients with diabetes over the last 6 months. • The Diabetes educator has been working at strengthening the relationship with other stakeholders in the community such as the midwifery group practice (to support Gestational Diabetes), Tennant Creek Hospital, and the Renal dialysis Unit to help provide group and individual education and to develop greater and more efficient continuity of care, information sharing, referral and patient confidence building. There has been an increase in patient follow-ups at Tennant Creek Hospital and Renal Dialysis Unit over the last few months with ongoing follow up post discharge from hospitals, both locally and state wide. • There has been an increase in diabetes education activities across the Barkly region including the communities of Mungkarta, Corella creek, Connells lagoon, Nguyarrmini and Wogayala. In addition to this, Diabetes outreach has increased to help support individuals in the community who may not access the clinic on a regular basis with positive results with support from stronger families and other local organisations. • Health promotion is an important function of the Diabetic Education. This year some of the activities have been increasing awareness of Diabetes for National Diabetes Day, healthy eating presentations and Diabetes prevention for students of the local high school and at a recent local sports tournament, and attendance at an annual careers expo. • Looking to the future, initial discussions for specialist support and tele-health for diabetes has begun. Engagement of community accessing the clinic to encourage referrals for diabetes education, follow-up and attendance are challenges the whole team are continuing to work on. By increasing partnerships and strengthening efficacy of services, positive engagements, referrals, education and follow-up, we aim to see more positive outcomes in the future. • The vital and ongoing support for clients with Diabetes from Tennant Creek Hospital, Renal Dialyis Unit, Anyinginyi staff across all sections, Tennant Creek High School and other services who play a role is acknowledged and greatly appreciated. Dental Services Physiotherapy and Podiatry • Anyinginyi Health maintains a well patronised Dental Clinic in Tennant Creek. The role of good dental care in the overall health of our clients cannot be understated and it is for this reason that our organisation has worked hard to ensure an unbroken period of service throughout the year and is committed to providing these services into the future. • The services of a visiting Physiotherapist and Podiatrist have been a part of our health service landscape for many years. With the burden of chronic disease in our region being so significant these services are invaluable in preventing and treating the concomitant conditions that can arise from diseases such as diabetes and renal disease. Relief of pain caused through physical impairment, restoration of function and movement, muscular disorders, diseases of the nerves or blood supply, and arthritis are just some examples of what can be treated by these services. This results in a better quality of life for the client. • Anyinginyi Health works in collaboration with the Oral Health Services provided by the Northern Territory Government in order to provide comprehensive dental care to the people of the Barkly region. • Health promotion is also an important part of dental care and our dental team participate in health promotion events conducted by the organisation through the year. • We have been fortunate to be able to attract the same highly experienced professionals each visit throughout the year, which assists with client engagement, confidence and compliance. NDIS Collaboration • The introduction of the National Disability Insurance Scheme (NDIS) in the Northern Territory is being trialed in the Barkly Region. The NDIS supports people with a permanent and significant disability that affects their ability to take part in everyday activities. As part of this role out, earlier in the year Anyinginyi Health registered with the NDIS to become a recognised service provider and support the program and its clients in the community. 2014/2015 Anyinginyi annual report • palpuru ninji | health services 23 Manu Kinapina Parlpurru Ninji Kari | Regional Remote Health Section Regional and Remote Health Service The team at Regional and Remote Health provide clinical and health promotion outreach services to both Tennant Creek Township and small remote communities up to 400 kilometers distance from Tennant Creek. As there is no public transport services to these communities, the services provided are often the only link they have with health care professionals on a regular basis. Three main programs are delivered by this unit. Clinical Primary Health Care • The clinicians (nurses and a doctor) visit the communities according to a schedule negotiated with the community members themselves. Only 2 of the 8 communities visited have a facility (clinic building) to work out of. For the other 6 the clinicians set up in any building or the verandah of a client’s house that provides some protection from the elements. They deal with both acute and chronic health conditions and are able to monitor the needs of their clients by utilising a recall facility that is built in to the patient data recording system. The latter assists the clinicians to be well prepared prior to visiting each community. There is a great deal of preparation and travel involved in delivering this service, which requires dedication and passion on behalf of the practitioners. Grow Well program • The first five years of a child’s life is the most critical period for mental and physical development. The health of a child during these years dictates their future health long into adulthood and old age. Grow Well is an outreach child and maternal health promotion/ health education program conducted in Tennant Creek and the surrounding Indigenous communities of Mungkarta, Epenarra, Ali Curung and Imangara. The program provides nutritional, behavioural and general health education to mothers/carers/families with children aged 0-12 years focussing on reducing anaemia, growth faltering and scabies within the Barkly region by providing nutrition and skin health education whilst supporting and educating families to adopt positive ‘healthy’ attitudes and habits regarding hygiene and parenting skills. Its main focus areas are nutrition, scabies, worms/strongyloides, dental hygiene, eye and ear health, promotion of immunisations & well baby checks and environmental health (healthy homes mean healthy families). • The program works collaboratively with community based agencies and service providers such as the Midwifery Group Practice, Julalikari Pikka-Pikkakari Playgroup, NT Department of Children and Families, NT Education Department (primary schools and FaFT) Tennant Creek Hospital, and the Tennant Creek Women’s Refuge whilst continuing strong relationships with Anyinginyi sections of Piliyintinji-ki Stronger Families, the Intense Family Support Service (IFSS), and the Health Centre. • The Grow Well program participates in community based health promotion events where a broad dissemination of education, information and resources occurs. The program is flexible and simply responds to community need. The program takes referrals and has the capacity to work one-on-one with families providing more individual and personal family support creating support structures for families. • Over the last 12 months the Grow Well program has focussed on skin health and hygiene with great emphasis placed on prevention/eradication and education regarding the skin disease Scabies. As part of this mass education campaign the program was supported by community members in developing the Barkly Scabies prevention educational resource, a poster promoting Scabies awareness which is in production and will be available in November/ December 2015. • The program continues to engage new opportunities to build community capacity and reasonable responsibility in the areas of maternal and child health and nutrition. 2014/2015 Anyinginyi annual report • Manu Kinapina Parlpurru Ninji Kari | Regional Remote Health Section 25 Nyangirru Piliyi-ngara Kurantta | Business Services Team Purpose Statement: The Corporate Services Section provides corporate management services to Anyinginyi colleagues and clients of the Barkly region. Our aim is to deliver quality services in a professional and culturally responsive manner. • Assets and Infrastructure • Data and Information Technology • Governance Support • Continuous Quality Improvement • Human Resources • Financial Management It has been an exciting year for Corporate Services one that has been filled with reviews, enhanced policies and procedures and ongoing commitment to improvement. Accreditation Anyinginyi’s capacity to provide culturally responsive programs and services is dependent on building capacity within staff to listen to the needs, beliefs and sensitivities of clients thus our ethos is “Culturally Responsive”. This underpins all program and policy development with action aimed at addressing the holistic current and future needs of clients; thus our practical approach to programs with “Prevention is the Solution”. It is the view of Anyinginyi that trust and respect for the intrinsic role of culture in the lives of people, assists us in comprehending, respecting and responding to client needs with changes. Our corporate management maximises the ability for program providers to focus on Primary Health Care service delivery and client need. On 11th May 2015 Anyinginyi Health received our AS/ NZS ISO9001:2008 (Quality Management Systems) Standard Certificate. After the initial assessment Anyinginyi is required to submit to two 6 monthly independent audits to maintain Certification and annually thereafter. The audit includes provision of Allied Health, Primary Health Care and Social Support including remote, Preventative and Educational, Sports and Recreation and community support services with no exclusions applied for. There are eight sections in the ISO 9001 standard, the following relevant five are achieved by Anyinginyi. • Section 4: Quality Management System requirements • Section 5: Management responsibility, focus, policy, planning and objectives • Section 6: Resource management and allocation • Section 7: Service delivery (product realisation) and process management • Section 8: Measurement, monitoring, analysis and improvement We are very pleased with the outcome and I must thank and congratulate the team for their duties and commitment to this goal. In saying this we never stop asking the question “What can we do better” it is always our goal for continuous quality improvement. It is a priority of Sports and Recreation to improve activity regulations for our youth, Corporate Services will be working with the team and will hold community consultations in 2015/2016 on where the direction and services for this valued community facility needs attention and development. We look forward to working with the relevant NT and Commonwealth Departments in their guidance for best practice. Workforce Development Training and Workforce development also saw planning and mapping for the potential apprenticeships and traineeship in future years these being in the fields of health, administration, public health and allied health. There are many difficulties faced in this area the most common to all employers in Tennant Creek is our remoteness and support for when an employee is required to attend training blocks away from home. Through discussions with staff and development of support programs Anyinginyi has invested in three employees to complete their Diploma in Management and has assisted many other staff members in obtaining relevant, required or career orientated certificates and qualifications. Succession planning, recruitment and multi skilling of employees not only benefits Anyinginyi as an employer but the future life goals of that employee and the community. Finance and Grants Management In 2014/15 Anyinginyi Health Aboriginal Corporation was able to maintain similar grant funding levels to the previous year with only a slight reduction (-3%) overall as all funding bodies reduced funding activity in line with Federal Governments restructuring of Commonwealth Departments and implementation of the IAS policy. The major impact was uncertainty caused by short term 12 month funding Agreements and contracts rolled out across the entire sector. However Anyinginyi was able to maintain and even strengthen some services over the course of the year due to robust financial management and a demonstrated stability achieved thorough good governance and leadership over a number of previous years. Looking forward in 2015/16 positive aspects of the grant funding area include consolidated three year funding Agreements through to June 2018 together with increasing emphasis on Aboriginal workforce development and CQI (Continuous Quality Improvement) processes supporting Closing the Gap strategies and outcomes. In 2014/15 the major funding bodies of Anyinginyi Health Aboriginal Corporation were; 1+2481273L Grant Funding 2014/15 1% various 2% NTG 4% DSS 8% NTML 73% OATSIH Infrastructure Anyinginyi performed general maintenance and improvements to employee housing and our works sites, our assessment of client numbers and increased requests for services has led to the need for cultural appropriate men’s and general family areas. 2015/016 will see internal refurbishments of current building for these dedicated areas, the Health Centre and Piliyintinji-ki employees have been integral in planning and guiding the initial approach. Anyinginyi in 2015/2016 will also be assessing work site aged 1970/80s buildings with relevant authorities to meet regulatory conditions for safety and services. 12% PMC Our Section greatly appreciates the positive relationships we have with our funding bodies, local government/nongovernment bodies, local trade suppliers and our clients. I again thank and acknowledge the Nyangirru Piliyi-ngara Kurantta/Corporate Services Team for dedication and commitment to services. As always our doors are open for any questions. 2014/2015 Anyinginyi annual report • Nyangirru Piliyi-ngara Kurantta | business services 27 Piliyintinji-ki | Stronger Families Team Purpose Statement: The Piliyintinji-ki (Stronger Families) team provides men, women and families of the Barkly Region with a wide range of counselling and family support services. We provide culturally responsive, professional and confidential services that empower people’s ability to make positive changes. Piliyintinji-ki Stronger Families continues to grow its staff and its programs and services. The expansion of the Section ensures programs and services facilitated from the Women’s Centre and Men’s Centre remain responsive, targeted and gender specific. These programs and services, combined with the Intensive Family Support Services, FASD community education program and an experienced clinical based team, embed a wrap-around model of care for our clients, aimed to address whole-of-life issues and disadvantage. The Women’s Centre have settled into their new premises on the south side of 1-5 Paterson Street, making use of purpose built and functional administration and program areas as well as other facilities. The Men’s Centre relocation from their existing premises to the north side of 1-5 Paterson Street is progressing, with final renovations being completed prior to a planned move before Christmas 2015. In our approach to working to improve the health and wellbeing of Aboriginal clients and their families, Piliyintinji-ki continues to focus on a community development approach to improve quality of life, recognising the diversity of our community and language groups and the connection between social, cultural, environmental and economic issues that influence our choices. Staff at Piliyintinji-ki work hard to bring community members together, to find solutions to the common problems experienced across our community, and to plan inclusive and equitable programs and services that respond to community needs, but most importantly, that are supported by community. As at 30 June 2015, our team of dedicated staff consists of: • Section Manager: Marie Murfet I would like to acknowledge LT (Linda Turner) in her role as Section Manager for a period of time during 2014/15. LT has taken on the role of Cultural Implementation Officer, responsible for cultural competencies that underpin the operations of Anyinginyi Health Aboriginal Corporation. • Administration Officer: Keisha White. • Women’s Centre: Community Support Workers - PR (Phyllis Ricky), Colleen Aplin, Naomi Newcastle and Christina Nelson. I would like to acknowledge the sad passing of a valued member of our team during the year, Winijjipurttu Fry, whose commitment, knowledge and sense of humour will always be remembered by staff and clients. • Men’s Centre: Team Leader - George Butler. Community Support Workers - David Duggie, Solomon Charles, Joseph Thompson and Joseph Williams. Men’s Health Support Worker - Dr (Ret.) Peter Grant • Intensive Family Support Services (IFSS): Team Leader - Sarah Watkins Senior Case Worker - Leisha Booth Family Support Worker - Winniji O’Donoghue • FASD Community Education and Special Projects: Jillian Taylor • Clinical Team: Psychologist - Patricia Grant Counsellors (female) - Janine Andrews and Adele Cameron Counsellor (male) - Kym Sheldon 2014/2015 Anyinginyi annual report • Piliyintinji-ki | stronger families 29 PROGRAMS AND ACTIVITIES Women’s Centre Men’s Centre Women’s Centre weekly capacity building timetable incorporates: AOD, volatile substances, legal, family strengthening, family and domestic violence, healthy life choices, health and hygiene and self-care. Other programs include cooking and the safe preparation of food, pamper days, art and craft, gardening and planting of herbs and bush medicine plants. Men’s Centre weekly capacity building timetable also incorporates targeted programs: men’s health check screenings, AOD, volatile substances, legal, money business, family strengthening, family and domestic violence, healthy life choices, health and hygiene and self-care. Other programs include cooking and the safe preparation of food, art and craft, and cultural days out. The Men’s Centre staff and clients have been able to attend to a number of needs of community through outreach, ensuring clients have access to water, firewood, shelter, removing rubbish, etc. Cultural programs include making clap sticks, boomerangs and coolamons. Cultural programs include baby smoking and a weekly bush medicine program, significant components to healing and wellbeing. Clients plan the bush trips to gather what they need to make up medicines such as: • BROOM WATTLE (MINYINA) and LEMONGRASS in bees wax and olive oil - for aches and pains in muscles and joints. • CURRY WATTLE in bees wax and olive oil - used for sores and as an all over body rub for flu and aching muscles. • LEMONGRASS massage oil in olive oil - to aid sleep and relaxation. • WHITE CYPRESS (KARAPAARR) and EUCALYPTUS (KUNJUMARRA) in bees wax and olive oil - for coughs and colds. • YARKULA AND TEA TREE in bees wax and olive oil for Scabies. • YARKULA SPINIFIX WAX and olive oil - for flu, aches and pains and sores. The capacity building timetables are a recognised Remote Jobs for Communities Program activity with a number of participants attending the Women’s and Men’s Centres to develop their potential and meet their obligations. Youth focus School based programs facilitated by Piliyintinji-ki staff integrate a view of the bigger picture for our young people, intended to benefit the whole of the community in the long term and ground in respect for themselves, each other and their culture. Integral to outcomes is that young people participating in the programs are able to take greater responsibility for and control over their futures. These programs are: Better Choices Program Youth engagement through the Better Choices Program for Aboriginal students – supported by High Schools in the region and facilitated on site at the school by both staff from the Women’s and Men’s Centres, the program targets male and female students in years 7, 8, 9. Content of the 7 week program is broken down into the following components: • Week 1 - Introduction and role of Counsellors/ Facilitators; No shame in talking to Counsellors; Confidentiality; Overview of program – the next 6 weeks; Establishing a program code of conduct • Week 2 - The effects of alcohol on physical, social and emotional wellbeing; FASD; Supports Aboriginal Young Men’s Positive Engagement Program The program is supported by the Tennant Creek Primary School and facilitated by staff at the Men’s Centre off site. The program targets male students in years 5/6 and encourages a two way learning process at various locations, including: • Seven Mile Creek • Mary Ann Dam • Papulu Apparr-Kari Language Centre • Nyinkka Nyunyu • Battery Hill • Sport and Recreation Topics covered in the program include: • Language learning (Warramungu, Warlpiri, Alywarre, Katyje, Warlmanpa) • Safe talk • Health and wellbeing • Respect, Responsibilities and Obligations • Code of conduct (school based, social, home) • Week 3 - Alcohol and substance abuse; Tobacco, Yarndi, Volatile substance abuse; Supports • Sporting activities • Week 4 - Sexual health (male and female); Social and emotional wellbeing; Supports • Hunting and tracking. • Story telling • Week 5 - Violence (family and domestic); Bullying; Social and emotional; Safety plans; Supports • Week 6 - Emotions (dealing with); Self-harm; Suicide; Safe talk / Safe reporting; Supports • Week 7 - Celebration and certificates. 2014/2015 Anyinginyi annual report • Piliyintinji-ki | stronger families 31 Intensive Family Support Services FASD Community Education The IFSS program works with families referred by the Department of Children and Families who have experienced, or are at risk of experiencing, child abuse and/or neglect. IFSS is an in-home, capacity building and family strengthening program and works to reduce the risk of child abuse, and increase parents and carers capacity to care for their children. IFSS also maintains strong relationships with community and government organisations to ensure that a collaborative approach is taken to working with families and to address a range of complex issues. Community education continues with the engagement of a Project Officer who is also responsible for the review of resources. Segments of the ‘Alcohol & Mums: what you need to know’ DVD screened regularly throughout the year on Imparja TV and ICTV in four languages, emphasising a responsive, appropriate and powerful awareness footprint that targets communities not only in the Barkly region but elsewhere in the Northern Territory, South Australia, Queensland and Western Australia. The previous 12 months saw 13 families referred to IFSS, with many successful outcomes. Families are referred to IFSS for a range of issues including alcohol and drug misuse, domestic violence, homelessness or risk of becoming homeless, school non-attendance, and children’s medical needs not being met. Family Support Workers work intensively with families, having interactions at least three times per week. Given the complex nature of many of the issues faced by our families, IFSS is able to work with families for up to 12 months, sometimes longer if needed. There are many different things that can impact on a parent’s ability to care for their children; there is no quick fix and the long term involvement from IFSS has seen some amazing success stories over the past 12 months. Some of the successes have included having parent’s own physical and mental health issues resolved, resulting in a drastic improvement to how they care for their children; housing issues resolved with permanent accommodation sourced; working in the home with families to improve life skills; as well as supporting families to address their children’s learning and behavioural needs and increase school attendance. Piliyintinji-ki’s FASD community education program is one component of a more broader public health focus that is aimed to raise awareness and health related preventable disease, illness and injury; and to promoting better health and wellbeing outcomes for communities in the Barkly Region. Clinical Team The Psychologist and Counsellors work across a number of communities in the Barkly region, developing and facilitating group programs and coordinating their individual one-on-one client needs. The team accepts internal referrals as well as external agency referrals for clients who may require mandated AOD, mental health, trauma or violence treatment supports. They also provide community education, sharing with participants a clear understanding of domestic and family violence; the effects on the individual, family and the overall community; positive and negative experiences and attitudes; immediate factors preceding violence; managing anger and jealousy; and AOD. Stakeholder Engagement Piliyintinji-ki staff work extensively with other agencies in the region to find common ground that best promotes collaboration and positive ways to work to address ‘whole of life’ issues impacting on our clients. Piliyintinji-ki staff represent the organisation on a number of significant stakeholder groups and committees that work together to resolve local solutions to local problems. These include the Tennant Creek Community Safety Action Committee, Ali Curung Service Providers Action group and Community Safety Action group, Elliot Kid Safe meetings, Barkly Region Accommodation group, Tennant Creek Local Domestic Violence Reference group, and the NTCOSS and Department of Community and Families NGO working group. Community Activities, Events and Education Piliyintinji-ki staff have had many opportunities throughout the year to plan, coordinate and attend, significant community events, including: • IFSS Stakeholder Forum • NAIDOC 2014 • FASD International Awareness Day 2014 • Ali Curung Fun Days • Bush Medicine program – Ali Curung Arts Centre, PPK, Elliott School • Elliott Family Fun Days • Tennant Creek Show • White Ribbon Day 2014 • Skills, Employment and Careers Expo 2014 • Drug Action Week 2014. Staff Development Opportunities Piliyintinji-ki staff have been provided a number of opportunities throughout the year to expand their knowledge, skills and networks including: • Attending the Remote AOD Network Conferences and Social and Emotional Wellbeing Network Conferences. • Attending training programs - Authorised Persons Training (Volatile Substance Abuse) training, Safe and Secure training (A Framework for Trauma Informed Care), Powerpoint and Presentation training, NAPCAN’s Community Mandatory Reporting Workshop, Family and Wellbeing Cert. II, RespectED training program, First Aid, Intensive Family Case Management training and Responding to Child Abuse and Neglect 2 day training. We were fortunate that a number of training programs have been conducted in Tennant Creek. • Assisting with the FAST (Families and Schools Together Program) at the Tennant Creek Primary School. FAST is a preventative/early intervention after-school hours program, first released in 1990, the FAST model has changed the way many people think of parent involvement, interventions, etc., and how to keep kids safe, drug-free and in school. • Participating and facilitating the Love Bites Respectful Relationships program, a program for anyone who works in the area of domestic and family violence and sexual assault. The program was coordinated by SARC (Sexual Assault Referral Centre) and approximately 50 students attended the workshop. Piliyintinji-ki receives a number of donations from people across Australia who support our aims and achievements. The donations include new and almost new clothing for men, women, children and babies. We also receive donations of new toys and gifts and generally have enough to provide as gifts for Christmas. Other donations include bras that come to us through women who are involved in the Uplift program, women who no longer need them for lots of reasons including women who have had mastectomies, or who have lost weight, or who just want to give to our women. Throughout the year we were able to provide boxes of bras to the community, including agencies (Women’s Shelters in Tennant Creek, Ali Curung and Elliott) as well as nursing bras to the Midwifery Group. Piliyintinji-ki staff will continue to advocate for their clients, create a healthy and supportive environment that strengthens personal skills such as good decision making and communication, and endeavour to empower clients to look at options that allow them to have more control over the influences that impact their good health and wellbeing. 2014/2015 Anyinginyi annual report • Piliyintinji-ki | stronger families 33 Wirlyarra Punjarlki kapi Miripartijiki | Sport and Recreation Team Purpose Statement: Anyinginyi Sport and Recreation/Active Life aims to provide and deliver the physical determinant to all people in the community, in a culturally responsive and safe environment. We aim to work with other organisations, and to give our staff the opportunity for training and development. 2014/15 has been a very busy year for the sport and recreation department with plenty of new program on offer for the Tennant Creek community, including bring back some sporting competitions that haven’t been seen in Tennant Creek for some time. The renovated gymnasium still looks amazing and we have replaced some old ageing equipment with new modern commercial graded gym equipment that has pleased the members. We have maintained our fitness classes of Pump, Crossfit, Circuit and Boxercise for the community, plus we had 4 staff trained up in Aqua Aerobics Instruction Course, in which we held 2 Aqua Aerobics a week in the Tennant Creek pool for the summer, the first night we filled the pool with 45 people taking part of the class and we averaged the whole summer at around 20, which was great to see the community beat the heat, by staying refreshed in the pool and also being active. We still had some minor renovations completed as part of our upgrade, with some specialised artwork being created on the walls of the foyer and around reception, showcasing the landscape and of what activities we have on offer at Sport and Recreation. Gym Visits data as below 500 450 400 350 300 250 200 150 100 50 0 JUL Aug Sep oct nov dec Non-Aboriginal jan Aboriginal feb mar apr may Staff jun 4738+ 4750+ 5255+ 4037+ 3938+ 3629+ After school activities / holiday programming We even took some of our future cricket stars to visit the Victorian Bushrangers in Alice Springs, in which our kids from Tennant Creek got a one-on-one opportunity with Australian Opener Batsmen Chris Rogers and Fast Bowler Pete Siddle. 47 47 50 52 55 40 38 37 39 38 36 june may april march february january december november october september 26 August The holiday program has been very successful with again a different range of activities for the kids, plus we also went on tour around Tennant Creek with visits the Emergency Services of the Police, Fire and Rescues and St Johns Ambulance. We also have had cultural days at Nyinkka Nyunyu and explored the history of mining in Tennant Creek up at Battery Hill, even explored the Telegraph Station and Three Ways. Daily averages of the after school activities and school holiday program July As always, the after school activities and school holiday programming have been very busy with the children of Tennant Creek and surrounding communities. There has been a range of programs and activities offered including Basketball, Tball, Cricket, Touch Rugby, canoeing out at the dam and a also a range of indoor activities including table tennis, arts and craft and just chilling out in the kids room. 2014/2015 Anyinginyi annual report • Wirlyarra Punjarlki kapi Miripartijiki | Sport and Recreation 35 Social sports In 2014/15 we have had an active period of organising social sports for the residents of Tennant Creek with the team dedicated of providing 2 social sporting competitions per quarter with mixed soccer, mixed volleyball, mixed netball and mixed touch rugby as some of these sports throughout the year. The highlight was especially bringing back two sporting competitions that were very big back in the day, with a basketball competition and a softball competition. These sports haven’t been a competition for around 20 years and the community were glad they were back. The basketball competition started off in late October and ran into early December, in the men’s we had 6 teams and in the women’s we had 4 teams. In midDecember we hosted the inaugural indigenous women in sport program Basketball Competition, where teams from all over the southern region of NT came to Tennant Creek to represent their region. From our competition we selected a representation team to take on the best, and our team of Tigers competed very well and even finished runners up. In November, we also took a mens and womens team to Alice Springs to watch the WNBL match of Sydney Uni Flames and West Coast Waves, in which the team got a private coaching session by players and coaches, and also played against one of the local Alice Spring basketball teams. Our other sport we brought back was women’s softball, with softball we played it on the Saturday to work in with the local footy competition and we had 7 teams register for the week by week competition, we even had teams from Ali Curung and Canteen Creek came into participate. It was great to see so many women up and about playing softball and being active on a Saturday, and this program is certainty something we will be working on next year and also taking a representative team to the Softball NT Champs in Darwin. We held our own Rossy Williams’ cricket carnival in late January, with the maximum 10 teams entered, even a women’s team, to play cricket all weekend with support from Cricket NT we look forward to making it even bigger next year with our very own women’s competition on the plans. Anyinginyi Health Aboriginal Corporation also supported a Tennant Creek cricket team to play in the Imparja Cup in Alice Springs in February 2015. The team went through the round robin games undefeated and look very dominating, however a slip up in the semi-final made them exit the competition. The team seem to be improving every year, and if we can get a structure local cricket competition up and going in Tennant Creek, we will see Tennant Creek lift the Imparja Cup trophy. Tommy Gillet had a superb week, by taking out the MVP award. Although we had a very busy year organising team sports, we also entered in a partnership with the Indigenous Marathon Project by organising Deadly Fun Runs here in Tennant Creek, and even had local boy Adrian DodsonShaw, come back to town for the event, and he had recently just came back from being the first aboriginal runner to finish the North Pole marathon. In the end, 3 fun runs were organised covering distances of 2.1km, 4.2km and 6.8km. We were also invited to take 3 runners (Dane Nichols, Crystal Johnston and Zac Limerick) to the Deadly Fun Run Championships in Uluru, in which coincided with the 30th year anniversary of handing back of Uluru to the traditional owners, so it was a very special ceremony for our runners and staff to be part of. The sport and recreation team look forward to bringing another year of sport and recreation activities to keep the community healthy and active. All staff who worked at sport and recreation undertook a presentation course conducted by CDU, attended the preventing child abuse workshop by NAPCAN, attended the higher faster stronger workshop conducted by the Department of Sport and recreation and also undertook Coaching and Officiating courses in Basketball and Softball. Four permanent staff members are currently studying the certificate III in sport and recreation and congratulations must go to our Healthy Lifestyle Officer, Jemma Paterson, who complete her Certificate IV in Population Health. Well done Jemma! 2014/2015 Anyinginyi annual report • Wirlyarra Punjarlki kapi Miripartijiki | Sport and Recreation 37 General Purpose Financial Statements For the Year Ended 30 June 2015 2014/2015 Anyinginyi annual report • Financial Statements 39 2014/2015 Anyinginyi annual report • Financial Statements 41 Income Statement for the Year Ended 30 June 2015 2015 $ 2014 $ Income Government Grants 12,944,485 13,244,843 1,082,047 1,102,630 366,697 371,038 - 19,489 Other revenue from ordinary activities 1,323,936 1,172,548 Total Revenue 15,717,165 15,910,548 Employee salaries and wages (6,652,780) (7,331,563) Employee oncosts (1,033,330) (1,206,742) (55,170) (106,987) (866,327) (933,798) (14,096) - (4,283) - (4,810,878) (3,440,010) (13,436,864) (13,019,100) 2,280,301 2,891,448 Revenue from rendering of services Interest Gain on sale of assets Expenses Employee leave expense (provisions) Depreciation expense Interest paid Loss on sale of assets Other expenses from ordinary operating activities Total Expenses Surplus/(Deficit) From Activities Statement of Comprehensive Income for the Year Ended 30 June 2015 Surplus/(deficit) for the year Other comprehensive income Total Comprehensive Income/(Deficit) for the Year 2,280,301 2,891,448 - - 2,280,301 2,891,448 2014/2015 Anyinginyi annual report • Financial Statements 43 Statement of Financial Position at 30 June 2015 2015 $ 2014 $ Current Assets 13,018,587 10,532,951 492,707 519,267 13,511,294 11,052,218 8,125,572 8,254,282 21,636,866 19,306,500 972,302 584,594 950 2,995 Provision for employee entitlements 575,675 578,765 Unexpended grants 572,424 968,997 2,121,351 2,135,351 64,065 - 2,185,416 2,135,351 19,451,450 17,171,149 19,451,450 17,171,149 Cash and cash equivalents Trade and other receivables Non Current Assets Property plant and equipment Total Assets Current Liabilities Trade and other payables Borrowings Non Current Liabilities Provision for employee entitlements Total Liabilities Net Assets Members Funds Accumulated funds Statement of Changes in Equity for the Year Ended 30 June 2015 Accumulated funds at start of year 17,171,149 14,279,701 Total comprehensive income (deficit) for year 2,280,301 2,891,448 Accumulated funds at end of year 19,451,450 17,171,149 Statement of Cash Flows for the Year Ended 30 June 2015 2015 $ 2014 $ Cash Flows From Operating Activities Payments Employee costs (7,551,930) (8,627,766) Materials, contracts and other costs (4,249,452) (4,115,494) (14,096) - Receipts from activities 2,130,540 1,815,959 Recurrent grants 12,547,912 12,949,999 Net cash provided (used) by operating activities 2,862,884 2,022,698 366,697 371,038 (763,109) (1,016,297) 21,209 20,362 (375,203) (624,897) - - 2,487,681 1,397,801 Cash at beginning of the year 10,529,956 9,132,155 Cash At End Of The Year 13,017,637 10,529,956 Interest paid Receipts Cash Flows From Investing Activities Interest received Payments for property, plant and equipment Proceeds on sale of assets Net cash used in investing activities Cash Flows From Financing Activities Net cash provided (used) by financing activities Net increase (decrease) in cash held 2014/2015 Anyinginyi annual report • Financial Statements 45 My Story The Way I Lived Nabarula was born in 1930 at Kwarta, a soakage on the Goss River, at Tennant Creek Station. Her bush name was ‘Ngarnpangali.’ Up until the age of 12, Nabarula lived with her parents in traditional bush camps across Warumungu Country. They also lived at 7 Mile and Kalkarti (6 Mile Aboriginal Reserve). Nabarula had fond memories of the day her Grandfather turned up at Kalkarti. He said they were going to visit family at Newcastle Waters. Nabarula and her Grandfather walked from Tennant Creek to Newcastle Waters and back, visiting family on the way. This was an important cultural journey for Nabarula - she was taught about Country and how to look after it, how to survive and how to show respect. She was shown places that belonged to her and put these places into her memory. She danced for these places and fought for these places all throughout her life. At the age of 13, Nabarula was moved to Phillip Creek Mission, where her parents lived. She was enrolled in the mission school, where her Mother worked in the kitchen. During this time, Nabarula was able to learn about Yurtuminyi and Kanturrpa Country and connect with family. They hunted, they camped out, they danced, they shared stories, especially on weekends and during school holidays. In 1947, when Nabarula finished school, she got work washing clothes at the Phillip Creek School dormitory. Nine years later her Father died and was buried at the mission. In 1957, Nabarula and others were forced to move to Warrabri Aboriginal Reserve (now Ali Curung). Two years later (1959) she gave birth to her only child, a son, Ronnie. Hating being away from her country, she walked with her baby from Ali Curung to Muckaty. She knew she could do it, as she’d done it before, and her determination got her there! When she arrived, she got a job on Muckaty Station fencing, which she saw as “men’s work”. Not liking being away all day from her baby son, Nabarula left the job and moved to a ‘holiday camp’ on Attack Creek, before permanently shifting to Tennant Creek. In the 1970s, Nabarula adopted her eldest brother’s children. There were three altogether, Matthew (dec) Ronald (dec) and Andrew Walker. She helped them to get a good education, by sending them to boarding school at Yirrara College. In the mid-seventies, Nabarula and her sister met Elizabeth Ham from the AIM Church. Both sisters gave their life to the Lord, and were baptised at Seven-Mile. Nabarula prayed throughout her life and drew great strength from her faith to assist her with the many challenges she faced. In 1977 Nabarula also adopted another child, Russell Murphy-Grant Snr. In 1977, Nabarula met David Nash, the Anthropologist. Nabarula and other family members taught Mr Nash how to speak Warlmanpa so they could communicate in language, and went bush together hunting for Manaji (Bush potatoes) and looking at soakages around Nabarula’s homeland. In 1979 Mr Nash introduced his wife, Jane Simpson, to the whole family. Nabarula’s sister, Annie, taught Jane how to speak Warumungu, which resulted in Jane later writing the Warumungu Dictionary. In 1980, Nabarula became a Grandmother for the first time, when Ronny had a daughter, Katie. Nabarula looked after Katie, taking good care of her, took her hunting, camping out with Land Council mob. Nabarula first met Gerry McCarthy in 1980 when he was teaching at Karguru Primary School. She heard the kids running amuk, said to Gerry “I think you need help, my son!” and claimed him as a son ever since. Throughout the 1980s, Nabarula completed an IAD Course in Alice Springs in Language. She spoke many languages: Warumungu, Warlmanpa, Warlpiri, Alyawarre, Keytetye, Jingili and Mudburra, Anmatjerre, as well as English! As far back as the 1980s, Nabarula lobbied the NT Government for a renal dialysis service in Tennant Creek, so that family didn’t have to travel away from their country for treatment, as her young sister had renal trouble. Nabarula was really happy years later when Tennant Creek finally got its own Renal Unit. Her sister, who passed years ago, has a son who benefits from that renal unit now. In the 1990s, Nabarula worked at Tennant Creek High School as a Cultural Advisor. She took the students out hunting and collecting bush tucker. She also taught them to collect bush seeds such as Ajurrujurru beans, to make necklaces. People still say this very day “We feel lucky and honoured to have been her students”. In 1997, Nabarula adopted another Grand-daughter, Sherona Murphy-Grant, growing her up from baby, despite being of senior age herself! She was so delighted in 1999 to become a Great Grandmother for the first time, to Katie’s daughter, Jasmine. Sherona and Jasmine grew up together, with Nabarula teaching Katie how to be a good Mother. Nabarula’s dearly loved Sister, Annie, passed away in 2003. Nabarula stepped in to look after her sister’s children, Grandchildren and Great-Grandchildren. She was a second Mother to so many! Despite her increasing age, Nabarula still had room for little children in her heart! In 2004, she adopted her Great-Grand-daughter Skye, and in 2008, she adopted her Great-Grand-Daughter Lynasha, and the two girls grew up together. Even this year, at 85 years old, she loved having children around her, with Kitana especially never far from her side. Nabarula was an inspiration to all and will be sadly missed in our community. 2014/2015 Anyinginyi annual report • Financial Statements 47 Anyinginyi Health Aboriginal Corporation 1 Irvine St, Tennant Creek, NT, 0860 PO Box 403, Tennant Creek, NT, 0860 T. (08) 8962 2633 F. (08) 8962 3280 www.anyinginyi.org.au